Loaʻa iā ʻoe kēia ʻeha aʻalolo hiki ʻole ke hoʻomanawanui? (ʻEha Neuropathic) E ʻike pono kākou

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha nui i loko o kou kino me ke kumu ʻole, e like me ke kuni ʻana, nā haʻalulu uila, a i ʻole nā ​​​​pine a me nā nila? Malia paha ʻo nā lole āu e ʻaʻahu nei e hamo i kou kino a ʻeha loa ia a hiki ʻole iā ʻoe ke hoʻomanawanui? ʻAʻole wale kēia mau mea he mau mea maʻamau. Hiki i kēia ke lilo i ʻano ʻeha kūikawā i kapa ʻia ʻo 'Neuropathic Pain' i ka lāʻau lapaʻau, i hoʻokumu ʻia e kekahi pilikia i loko o kā mākou ʻōnaehana nerve. ʻAʻole kēia e like me ka ʻeha poʻo maʻamau a i ʻole ke kua, he ʻokoʻa ia. No laila i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i kēia, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka ʻeha neuropathic?

ʻAe, no ka hoʻomaopopo ʻana i kēia, pono mua mākou e ʻike iki e pili ana i ka ʻōnaehana nerve i loko o ko mākou kino. E noʻonoʻo i kā mākou ʻōnaehana nerve e like me kahi pūnaewele o nā uea kelepona e holo ana ma ka ʻāina holoʻokoʻa. ʻO nā kikowaena nui ʻelua o kēia pūnaewele ʻo ko mākou lolo a me ke kaula spinal . Kāhea mākou i kēia ʻo ka ʻōnaehana nerve waena. Mai kēia mau kikowaena nui, aia nā uea liʻiliʻi he nui e lawe ana i nā leka i kēlā me kēia kihi o ke kino, me nā lima, nā wāwae, nā manamana lima, a me nā ʻōpū o loko. ʻO kēia nā mea a mākou e kapa nei he mau aʻalolo peripheral.

I kēia manawa, e noʻonoʻo i ka mea e hana ʻia inā ua hōʻino ʻia a hana hewa paha kekahi o nā uea i loko o kēia pūnaewele kelepona? ʻAʻole hele pono nā leka, ʻeā? Malia paha ua hoʻouna ʻia nā leka hewa. ʻO ia ka mea e hana ʻia me ka ʻeha neuropathic. Ke hōʻino ʻia ko mākou mau olonā nerve, hoʻomaka kēlā mau aʻalolo i hōʻino ʻia e hoʻouna i nā hōʻailona hewa i ko mākou lolo, ka leka hewa e ʻōlelo ana "ʻeha." ʻOiai inā ʻaʻohe kumu maoli no ka ʻeha, hiki iā ʻoe ke manaʻo i ka ʻeha ma muli o kēia mau hōʻailona hewa.

ʻO kekahi inoa no kēia ʻo neuropathy . He hoʻololi a hoʻopilikia paha ia i ka hana o hoʻokahi a ʻoi aku paha nā aʻalolo. Hiki i kēia kūlana ke loaʻa a hiki i ka 30% o ka poʻe me ka maʻi diabetes. Eia kekahi, ʻo kekahi mau maʻi ʻē aʻe, no ka laʻana, ʻo ka shingles ma hope o ka chickenpox, HIV/AIDS, a me ka maʻi hoʻohana waiʻona, hiki ke hana i kēia ʻeha neuropathic.

Pehea ka manaʻo o kēia ʻeha iā ʻoe? He aha nā hōʻailona?

ʻAʻole hoʻokahi ʻano ʻeha ka ʻeha neuropathic. Hiki ke ʻike ʻia ma nā ʻano like ʻole. No kekahi poʻe, e ʻoi aku ka ʻino a hiki i ka wā e hiki ʻole ai ke hoʻomanawanui, a no kekahi poʻe, hele mai a hele aku. I mea e maʻalahi ai ke hoʻomaopopo, e nānā kākou i kēia mau hōʻailona ma kahi papa.

No ke aha e loaʻa ai kēia ʻano ʻeha? He aha nā kumu nui?

ʻAʻohe kumu hoʻokahi no kēia ʻeha neuropathic. Hiki ke nui nā kumu. E nānā kākou i nā kumu nui e kōkua ai.

• Maʻi diabetes: E like me kā mākou i ʻōlelo ai ma mua, ʻo ke kumu nui a me ka mea maʻamau o ka ʻeha neuropathic ʻo ia ka maʻi diabetes. Hiki i nā pae kō koko kiʻekiʻe no ka manawa lōʻihi ke hōʻino i nā aʻalolo.
• Ka hoʻohana ʻana i ka waiʻona: ʻO ka inu nui ʻana i ka waiʻona i kahi manawa lōʻihi e hiki ke hōʻino i nā aʻalolo a hoʻoulu i kēia ʻeha.
• ʻO Shingles: Hoʻokumu ʻia kēia e ka maʻi like e hoʻoulu ai i ka chickenpox. Ma hope o ka ho'ōla ʻana o ka chickenpox, hiki i ka maʻi ke noho moe i loko o kā mākou mau hunaola nerve a hoʻāla hou i nā makahiki ma hope e hoʻoulu ai i kēia ʻeha nui.
• HIV/AIDS: Hiki i ka maʻi HIV ke hōʻino i nā aʻalolo, a ʻo kekahi mau lāʻau lapaʻau i lawe ʻia no ia mea hiki ke hana i kēia.
• Nā maʻi o ka ʻōnaehana nerve waena: Hiki ke hana ʻia kēia ʻeha e nā maʻi e hoʻopilikia ai i ka lolo a me ke kaula spinal, e like me ka hahau ʻana, ka maʻi o Parkinson, a me ka sclerosis maha (MS).
• ʻO ka maʻi ʻeha kūloko paʻakikī: ʻEha nui a mau loa hoʻi ma ka lima a i ʻole ka wāwae ma hope o kahi ulia.
• Nā kūlana o ke aʻalolo maka: No ka laʻana, ka neuralgia trigeminal.

Ma waho aʻe o kēia mau kumu, aia kekahi mau kumu ʻē aʻe:

• Nā lāʻau lapaʻau no ke kanesa: ʻO kekahi mau lāʻau lapaʻau anti-cancer, e like me cisplatin, paclitaxel, a me vincristine, a me ka radiation therapy hiki ke hōʻino i nā aʻalolo.
• ʻOki ʻia: Ma hope o ka wehe ʻia ʻana o kahi lālā a wāwae paha ma ke ʻoki ʻana, ua kapa ʻia ka ʻeha ma kahi i wehe ʻia ai ka lālā he ʻeha lālā phantom .
• Ka hoʻopili ʻana o ke aʻalolo o ka iwi kuamoʻo: Hiki ke hana ʻia ka ʻeha ma muli o ke kaomi ʻana o nā aʻalolo ma muli o nā kūlana e like me ka spinal disc prolapse.
• ʻOki kino a i ʻole nā ​​ulia: Hōʻeha i kahi aʻalolo i ka wā o ke ʻoki kino a ulia paha.
• Nā Tumors: Hiki ke hana ʻia kēia ʻeha e kahi puʻupuʻu maʻi kanesa a maʻamau paha e kaomi ana i kahi aʻalolo.

Pehea e ʻike ai ke kauka i kēia maʻi?

Ke kamaʻilio ʻoe e pili ana i nā hōʻailona e like me kēia, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ke noi iā ʻoe no ka wehewehe kikoʻī.

• E nīnau e pili ana i kou mōʻaukala olakino.
• E hoʻokolokolo pono ʻia ʻoe (hoʻokolohua kino).
• Ma muli o ke ʻano o ka ʻeha āu e wehewehe ai (e like me ke kuni ʻana, ke ʻoki ʻana, a i ʻole ka ʻeha ʻana), hiki i ke kauka ke loaʻa kahi manaʻo inā he ʻeha neuropathic kēia.

A laila, e ho'āʻo ke kauka e ʻimi i ke kumu o ka ʻeha. ʻO ia hoʻi, hiki iā ia ke hana i nā hoʻokolohua e hoʻoholo ai inā ma muli o ka maʻi diabetes, kahi maʻi ʻē aʻe, a i ʻole ka lāʻau lapaʻau.

He aha nā lāʻau lapaʻau no kēia?

ʻOi aku ka paʻakikī o ka mālama ʻana i ka ʻeha neuropathic no ka mea ʻaʻole ia e like me ka ʻeha maʻamau. Aia ka mālama ʻana i ke kumu o kou ʻeha a me ke ʻano o kou mau hōʻailona. ʻO nā pahuhopu nui o ka mālama ʻana:

• Ke mālama ʻana i ke kūlana kumu: No ka laʻana, ke ʻoki ʻana i kahi puʻupuʻu e kaomi ana i kahi aʻalolo. I ke ʻano o ka maʻi diabetes, ke kaohi ʻana i nā pae kō koko.
• Hoʻomaha ʻeha: Hoʻemi i ka ʻeha a hāʻawi iā ʻoe i ka hōʻoluʻolu.
• Kōkua i ka hoʻomau ʻana i nā hana o kēlā me kēia lā: Kōkua i ka hoʻomaka hou ʻana i nā hana i hoʻopau ʻia ma muli o ka ʻeha.
• Ka hoʻomaikaʻi ʻana i ke ʻano o ke ola: Ke hoʻomākaukau nei iā ʻoe iho e ola maikaʻi me ka ʻeha.

I ka manawa pinepine, he paʻakikī ke kāohi i kēia ʻeha me hoʻokahi ʻano lapaʻau, no laila hoʻohana pinepine ʻia ka hui pū ʻana o kekahi mau ʻano lapaʻau.

Inā ʻaʻole kēia mau lāʻau lapaʻau e kaohi i kou ʻeha, e wehewehe pū kāu kauka iā ʻoe i nā lāʻau lapaʻau holomua aʻe, e like me ka hoʻoulu ʻana i ke kaula spinal.

Hiki ke pale ʻia kēia ʻeha?

ʻOiai ʻaʻole hiki ke pale ʻia kēia i nā manawa a pau, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• E ho'ōki i ka puhipaka. Hoʻopōʻino ka puhipaka i nā kīʻaha koko, kahi e hiki ai ke hōʻemi i ke kahe koko i nā aʻalolo.
• E hoʻomohala i kahi hana hoʻoikaika kino e kūpono iā ʻoe. Hoʻomaikaʻi ka hoʻoikaika kino i kēlā me kēia lā i ke kahe koko.
• E ʻai i ka meaʻai olakino. E ʻai i nā meaʻai waiwai i nā huaʻai hou, nā mea kanu, nā legumes, nā palaoa piha, a me nā protein lean.
• E kaupalena i ka inu ʻana i ka waiʻona.
• Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā mau i kou pae kō koko a mālama pono iā lākou. E mālama pono i kou mau wāwae.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e ʻike pono i ke kauka.

• Inā he ʻeha kekahi mau ʻāpana o kou kino
• Inā manaʻo mau ʻoe e hou ʻia ana ʻoe e kahi nila
• Inā manaʻo ʻoe e nāwaliwali ana kou mau ʻiʻo
• Inā loaʻa iā ʻoe ka ʻūmiʻi ʻiʻo hiki ʻole ke kāohi ʻia (twitching)
• Inā e hāʻule mau ana nā mea ma kou lima i ka papahele

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?

Inā loaʻa iā ʻoe ka ʻeha nui, ka mae ʻana o ke kino, a i ʻole ka nāwaliwali e lilo koke i mea ʻino, he hōʻailona paha ia o ka hōʻino nui ʻana o ke aʻalolo. I kēlā hihia, pono ʻoe e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe. He koʻikoʻi nō hoʻi kēia mau hōʻailona:

• Ka puʻuwai wikiwiki a kūpono ʻole paha.
• Nā loli i nā hana halepaku, e like me ka paʻakikī o ka mimi ʻana .
• Ka poniuniu a i ʻole ka nalowale o ka ʻike.

I ka hopena, ʻo ka ʻeha neuropathic kahi kūlana hoʻoweliweli i ke ola e hiki ai ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā. Akā, mai manaʻo ʻoe ʻaʻole hiki iā ʻoe ke ola me ia. Me ka mālama kūpono a me ka hoʻokele ʻeha, hiki iā ʻoe ke kāohi i ka ʻeha a ola i kahi ola maikaʻi. ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka a ʻaʻole e hoʻomanawanui wale i ka ʻeha.